Factors related to the treatment of patients with eye injuries receiving care at Maharaj Nakhon Si Thammarat Hospital

Abstract

This research is a retrospective analytical study aimed at examining the factors associated with the treatment of patients with eye injuries who were admitted to Maharaj Nakhon Si Thammarat Hospital. The study population consisted of 297 patients with eye injuries who were hospitalized at Maharaj Nakhon Si Thammarat Hospital during the years 2023–2024. They were divided into two groups: those who received surgical treatment and those who received non-surgical treatment. Data were collected from the medical records of patients with eye injuries admitted to the hospital. The research instruments were validated by three experts, with a content validity index (CVI) of 0.82. Data were analyzed using descriptive statistics and multivariable logistic regression.
Results: When analyzing the variables using multivariable analysis, it was found that patients aged 19–29 and 30–44 were 5.85 and 9.30 times more likely, respectively, to require surgical treatment compared to patients aged 12 years or younger (OR = 5.85; 95% CI = 1.30–26.29 and OR = 9.30; 95% CI = 2.28–37.97). Patients who were treated in other wards had a 72% lower likelihood of undergoing surgery compared to those treated in the EENT ward (OR = 0.28; 95% CI = 0.14–0.57). Patients diagnosed with orbital injuries had an 83% lower chance of requiring surgery compared to those with no foreign bodies in the eye (OR = 0.17; 95% CI = 0.06–0.52). Meanwhile, patients diagnosed with globe rupture were 4.95 times more likely to undergo surgical treatment compared to those with no foreign bodies in the eye (OR = 4.95; 95% CI = 1.05–23.26). Therefore, Maharaj Nakhon Si Thammarat Hospital should establish clearer guidelines for screening working-age patients, as this group may have complications from other conditions that affect the eyes.